Repeated gastrointestinal bleeding

Česká verzia

Authors: L. Pokorná Klímová ¹; J. Gut ¹; P. Tlustá ²; K. Zárubová ³; J. Bronský ³; L. Zeman ⁴; B. Frýbová ⁴; J. Soukup ⁵ ; J. Balko ⁵; D. Kodetová ⁵
Authors place of work: Dětské oddělení NsP, Česká Lípa ¹; Dětská klinika Masarykovy nemocnice, Ústí nad Labem ²; Pediatrická klinika 2. LF UK a FN Motol, Praha ³; Klinika dětské chirurgie 2. LF UK a FN Motol, Praha ⁴; Ústav patologie a molekulární medicíny 2. LF UK a FN Motol, Praha ⁵
Published in the journal: Čes-slov Pediat 2017; 72 (1): 45-50.
Category: Case Report

Summary

This study presents a clinical case of a seventeen years old girl with repeated epizodes of gastrointestinal bleeding. Several gastrointestinal investigation procedures were performed to reveal the source of repeated haemorrhage. Consecutive diagnostic and therapeutic laparoscopic revision of the abdominal cavity with resection of the affected part of the bowel resulted in surprising diagnostic conclusion: angiodysplasia.

Authors discusse angiodysplasia in detail because such vascular laesions belong to extremely rare causes of gastrointestinal haemorrhage in childhood.

Key words:
adolescence, abdominal pain, melena, enterorrhagia, anaemia, angiodysplasia.

Zdroje

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